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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Prognosis Of End Stage Emphysema, Electrolyte Imbalance, UTI And Lungs Fluid

Hi, my mother is presently in the hospital. She has end stage emphysema, cannot walk unassisted, has electrolyte imbalance, UTI, fluid on her lungs, is barely eating and her breathing has gotten considerably worse since Monday. She was diagnosed with emphysema in 2003. She was able to walk slowly just as of last week. I think this may be the "beginning of the end". If it in fact is the end, I wonder how much longer she will be able to hold on this way. Do you have any idea??
Wed, 25 Oct 2017
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Internal Medicine Specialist,  's  Response
Hello
Thank you for trusting HCM

As you told she has end stage of emphysema??
In medical terms it is graded as endstage by GOLD score, BODE index etc.
GOLD 1:Fev1, >80%no flare ups since 1year or1
GOLD 2:Fev1, 50-80% with >1flare up
GOLD 3:Fev1, 30-50% with >2flare ups
GOLD 4:It’s extremely hard for you to breathe in or out. You’ve had at least two flare-ups in the past year, or you’ve been hospitalized at least once.

Doctors call this “end-stage” COPD. That means you have very little lung function. Any new flare-ups could be life-threatening.


Emphysema gets worse over time, and it affects everyone differently. That means there’s no way doctors can know for sure who long you can expect to live if you have it.

Your doctor will use information about the stage of your disease to come up with the best treatment plan for your mother.

Your mother having few more comorbidities like uti with plural effusion may need oxygen therapy.
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Suggest Prognosis Of End Stage Emphysema, Electrolyte Imbalance, UTI And Lungs Fluid

Hello Thank you for trusting HCM As you told she has end stage of emphysema?? In medical terms it is graded as endstage by GOLD score, BODE index etc. GOLD 1:Fev1, 80%no flare ups since 1year or1 GOLD 2:Fev1, 50-80% with 1flare up GOLD 3:Fev1, 30-50% with 2flare ups GOLD 4:It’s extremely hard for you to breathe in or out. You’ve had at least two flare-ups in the past year, or you’ve been hospitalized at least once. Doctors call this “end-stage” COPD. That means you have very little lung function. Any new flare-ups could be life-threatening. Emphysema gets worse over time, and it affects everyone differently. That means there’s no way doctors can know for sure who long you can expect to live if you have it. Your doctor will use information about the stage of your disease to come up with the best treatment plan for your mother. Your mother having few more comorbidities like uti with plural effusion may need oxygen therapy.